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Investigating Social Competence in a Pilot Randomized Clinical Trial of a Theatre-Based Intervention Enhanced for Adults with Autism Spectrum Disorder

Corbett, Blythe A ; Key, Alexandra P ; Klemencic, Mark E ; Muscatello, Rachael A ; Jones, Dorita ; Pilkington, Jennifer ; Burroughs, Christina ; Vandekar, Simon

Journal of autism and developmental disorders, 2023-12 [Periódico revisado por pares]

United States

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  • Título:
    Investigating Social Competence in a Pilot Randomized Clinical Trial of a Theatre-Based Intervention Enhanced for Adults with Autism Spectrum Disorder
  • Autor: Corbett, Blythe A ; Key, Alexandra P ; Klemencic, Mark E ; Muscatello, Rachael A ; Jones, Dorita ; Pilkington, Jennifer ; Burroughs, Christina ; Vandekar, Simon
  • É parte de: Journal of autism and developmental disorders, 2023-12
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Autism spectrum disorder (ASD) is characterized by challenges in social competence that persist in adulthood, yet few treatment options exist. A pilot randomized clinical trial (RCT) of a peer-mediated, theatre-based intervention with established efficacy in youth with ASD was examined in autistic adults. The final sample consisted of forty-seven 18-to-40-year-old participants randomized to the experimental (EXP N = 23) or waitlist control (WLC N = 24) condition. A multimodal, social interdependent model was employed to examine social competence changes in brain (incidental face memory (IFM) using event-related potentials), cognition (Wechsler Memory Scale-III), behavior (Contextual Assessment of Social Skills) and function (Social Responsiveness Scale (SRS); Adaptive Behavior Assessment Scale (ABAS) Social Composite). Using analysis of covariance in which pretest was controlled in the model, posttest between-group differences were observed on IFM (p = 0.016, η  = 0.139, d = 0.79) and several social and adaptive functional (SRS, ABAS) outcomes in social communication and interaction (SCI) (p = 0.019, η  = 0.121, d = -00.45), communication (p = 0.044 η  = 0.09, d = -00.31), and motivation (p = 0.001, η  = 0.229, d = -0.79) domains. At two-month follow-up, gains in social motivation remained (p = 0.041, η  = 0.100, d = -0.77). The results offer preliminary support for a unique theatre-based social skills intervention for autistic adults who have few treatment options to enhance social competence. The trial was pre-registered with ClinicalTrials.gov (Identifier: NCT04349644).
  • Editor: United States
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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